ESTRO 2024 - Abstract Book

S1515

Clinical - Lower GI

ESTRO 2024

Figure 2. The differences of dose statistics in FA-RT and R-RT. (A) Exposure dose of bone marrow; (B) Dose distributions in other OARs; (C) Dose of targets; (D) Severity of bone marrow suppression in 11 patients who received FA-RT. **: P < 0.01, ns: no significance.

Conclusion:

Delineating BM-a and designing FA-RT according to PET/MR could reduce exposure dose to BM-a without affecting the dose distribution to targets and other OARs. No patients experienced severe myelosuppression. Therefore, PET-MR based FA-RT may better protect bone marrow hematopoiesis for rectal cancer patients with neoadjuvant radiotherapy.

Keywords: PET/MR, functional avoidance planning, bone marrow

References:

1. Xu Y, et al. Efficacy and safety of different radiotherapy doses in neoadjuvant chemoradiotherapy in patients with locally advanced rectal cancer: A retrospective study. Front Oncol. 2023;13:1119323.

2. Mulé S, et al. Whole-Body Functional MRI and PET/MRI in Multiple Myeloma. Cancers (Basel). 2020;12:3155.

3. Colorectal Cancer Diagnosis and Treatment Technology Professional Committee of Chinese Medical Doctor Association, Abdomen Group Chinese Society of Radiology Chinese Medical Association. Expert consensus on MR examination and structured report of rectal cancer. Chinese Journal of Radiology. 2021;55:1121-1127.

4. Franco P, et al. Incorporating 18FDG-PET-defined pelvic active bone marrow in the automatic treatment planning process of anal cancer patients undergoing chemo-radiation. BMC Cancer. 2017;17:710.

Made with FlippingBook - Online Brochure Maker